Active NPI
Mickey Dean Bailey, RPH
- Pharmacist
- Gaffney, SC
National Provider Identifier
1730439811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4939
- Practice address
- 229 West Buford Dtreet
Gaffney, SC 29340 - Phone
- (864) 489-3140
- NPI assigned
- Sep 14, 2012
- Last updated
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4939 | SC | Primary |
| Pharmacist | 183500000X | SC4939 | SC |
Addresses
Primary practice location
229 West Buford Dtreet
Gaffney, SC 29340
Mailing address
PO Box 414
Blacksburg, SC 29702-0414
Phone (864) 490-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC4939 | SC | MD | Pharmacist |
| 4939 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1730439811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 414",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "297020414",
"telephone_number": "864-490-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 WEST BUFORD DTREET",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "29340",
"telephone_number": "864-489-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MICKEY",
"middle_name": "DEAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4939",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "SC4939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaffney, SC
- American Transmed, Inc
- Andrew P Harakas MD PA
- Angelic Services, Inc. (Angelic Home Care/Angelic Adult Day Care)
- Angelic Services, LLC (Angelic Adult Day Care)
- Patricia Archibald, R.N.
- Paul Bradford Bailey, PHARM.D.
- Karen Lou Bambrough
- Passion Kiara Bankhead, LPCA
- Herbert Francis Barnhill, MD
- Jennifer Abrajano Barredo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.